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WHITNEY HEADRICK

>> Physical Therapist >> Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Registrant NPI Number: 1407289663

Individual Registrant:
 WHITNEY  HEADRICK 
Gender: F
Not Sole Proprietor

Location and contact information for practice:
8501 ARLINGTON BLVD SUITE 40 FAIRFAX, VA 22031-4617 US
Tel: 703-810-5218  Fax: 703-810-5494

Contact information for business:
11240 WAPLES MILL RD SUITE 403 FAIRFAX, VA 22030-6078 US
Tel: 703-383-6454  Fax: 703-810-5494

Registration Information:
NPI: 1407289663
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y225100000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Physical Therapist
VA2305208108

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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